1. Medications that Can Lead to a Dysphagia Side-Effect - Swallow Study
Warning: This chart was created by , and it is intended to be used as a resource or guide for SpeechLanguage Pathologists and other healthcare professionals. This is not a complete list of all medications that could
cause dysphagia, dry mouth and/or central nervous system changes. This information should not be used as a substitute for consultation with the appropriate healthcare professionals (e.g., the patient's doctor & pharmacist).
1.
Medications that Can Lead to a Dysphagia Side-Effect
Neuromuscular Blocking Agents / Direct effect on striated muscle
Specific Drug Names:
Also Known As:
Common Uses:
Atracurium
Tracrium
Muscle relaxation
Cisatracurium
Nimbex
Muscle relaxation
Doxacurium
Nuromax
Long-acting muscle relaxation
Mivacurium
Mivacron
Short-acting muscle relaxation
Pancuronium
Pavulon
Muscle relaxation
Pipecuronium
Arduan
Muscle relaxation
Rocuronium
Zemuron
Muscle relaxation
Succinylcholine
Anectine
Muscle relaxation during surgery when using a ventilator; sometimes used during intubation
Tubocurarine
Tubarine
Muscle relaxation
Vecuronium
Norcuron
Muscle relaxation (generally given before anesthesia)
Antipsychotic / Major Tranquilizers / Neuroleptics
Examples of Typical/ Conventional:
Also Known As:
Common Uses:
Chloropromazine
Thorazine
Treat psychotic disorders including schizophrenia, manic-depression, or severe behavioral problems
Haloperidol
Haldol
Examples of Atypical/ Novel:
Clozapine Olanzapine
Also Known As:
Clozaril Zyprexa
Risperidone
Risperdal
Treat schizophrenia and Tourette's syndrome (*per should not be used for psychotic conditions related to dementia)
Common Uses:
Treat schizophrenia
Treat psychotic disorders including schizophrenia or bipolar disorder
Treat schizophrenia, bipolar disorder
Medications that can cause to Esophagitis / Esophageal Injury / GERD (con't)
Drug Classes:
Examples (brand names): Common Uses:
Bisphosphonate
Alendronate (Fosamax) Etidronate Ibandronate (Boniva)
Postmenopausal osteoporosis, irregular bone growth
Antibiotics Akhtar (2003)
Doxycycline Tetracycline Clinamycin Penicillin Erythromycin Ciproxfloxacin Lincomycin
Treat infections
Bronchodilator
Theophylline (Theo-24, Theo-Dur, Norphyl, etc)
Fluticasone/Salmeterol (Advair)
Bronchodilator (When using inhalers, rinse mouth with water and spit out water to prevent thrush/sores)
Medications that can cause to Esophagitis / Esophageal Injury / GERD (con't)
Non-Steroidal AntiInfammatory (NSAIDS)
Ibuprofen (Advil) Aspirin Naproxen (Aleve) Indomethacin (Indocin)
Analgesic, Antiinflammatory
Steroid (corticosteroid)
Methylprednisolone (Medrol) Prednisone
Anti-inflammatory, immune suppressant
Anticholinergics
Emepronium Bromide
Treats overactive bladder (can cause esophageal ulcer)
Quinidine
Quinine or Quinidex
Treats malaria, but also antiarrhythmias.
Alprenolol Chloride/ Antihypertensive
Aptine
Minerals and others
Potassium Chloride Ferrous Sulfate or succinate Ascorbic acid
Factors that increase risk for the medication to cause esophageal injury, stricture and/or ulceration: Stoschus & Allescher (1993) Akhtar (2003)
? Taken at bedtime
? Geriatrics at increased
? Taken without enough risk
fluid
? Enlargement of Left
? Taken in supine
Atrium compressing
position or in bed
esophagus
? Large pill size
? Thoracic surgery
? Hx of cirrhosis & portal ? Hx of Esophageal
hypertension
motility disorders &
strictures
Medications that can cause to Esophagitis / Esophageal Injury / GERD (con't)
Drugs that can cause gastroesophageal reflux (listed below):
Drugs that can decrease lower esophageal sphincter pressure (listed below):
Other items that can decrease lower esophageal sphincter pressure (below):
Bronchodilators
Antiangina meds (Nitroglycerin, Isosorbide mononitrate)
Atropine (Atropar)
Dopamine
Butylscopolamine spasmolytic, anticholinergic (Buscopan)
Alcohol
Fatty, fried foods
Hormones: Cholecycstokinin (stimulates digestion of fat and protein) Glucagon Progesterone
Calcium Channel blocker (Nifedinpine, Diltiazem)
Anxiolytic (Alprazolam)
Theophylline
Nitrates Calcium Antagonists
Chocolate Mint
2. Medications that Can Lead to a Xerostomia / Dry Mouth Side-Effect:
Anticholinergic with Antimuscarinic Effects & Antispasmodics (Inhibiting parasympathetic nervous system)
Specific Drug Names:
Also Known As:
Common Uses:
Atropine
Atropar
Relief from gastrointestinal spasms; antidiarrheal; treating colitis; spastic bladder; diverticulitis
Benztropine mesylate
Cogentin
Treating Parkinson's Disease symptoms, including muscle spasms, stiffness, tremors, drooling
Hyoscyamine
Cytospaz
Treating stomach, bowel and bladder spasms
Anticholinergics (con't): Ipratropium
Also known as: Atrovent
Tiotropium
Spiriva
Scopolamine (Antiemetic) Transderm-Scop
Pirenzepine
Gastrozepin
Tolterodine Hyoscyamine
Detrol Levsin
Diphenhydramine
Benadryl
Oxybutynin Emepronium Bromide
Ditropan, Driptane Emepronium Bromide
Common Uses:
Relaxes muscles in airways Increases airflow to lungs
Treats asthma and COPD
Relieves nausea, vomiting and dizziness. Used to decrease secretion of fluids (i.e., saliva).
Treats peptic ulcers, reduces gastric acid secretions, reduces muscle spasm.
Urinary antispasmodic for overactive bladder
Reduces muscle spasms in digestive system, and can be used to dry and reduces secretions
Treats allergy, hay fever, cold symptoms, itching, rashes. Can be used to treat insomnia.
Treats overactive bladder
Treats overactive bladder
More Medications with Potential Xerostomia Side-Effects
Drug Classes:
Examples (brand names): Common Uses:
Angiotensin-converting enzyme (ACE) inhibitors
Lisinopril (Zestril, Prinivil, Tensopril, Hipril) Captopril (Capoten), Enalapril (Vasotec, Renitec)
Block the angiotensin converting enzyme to reduce blood pressure. Serious side-effect: angioedema (swelling) - tongue?
Antihypertensives
Guanfacine (Tenex) Clonidine (Catapres) Terazosin (Hytrin)
Treat high blood pressure
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- new data on antihypertensive drugs and risk of cancer should we worry
- high blood pressure cornell university
- common drugs medications known to cause diaphoresis listed by
- non drug ways to promote health by lowering blood pressure
- understanding blood pressure readings transitions lifecare
- diovan valsartan tablets for oral use food and drug administration
- can common blood pressure medications cause diabetes save your heart
- fact sheet medications linked to falls centers for disease control
- drugs that can cause hyponatraemia
- highlights of prescribing information these highlights do not sanofi